scholarly journals 452 - Physical and Psychiatric Multimorbidity Associated with Prescription Opioid Use in Community-Dwelling Older Adults

2020 ◽  
Vol 32 (S1) ◽  
pp. 172-172
Author(s):  
Carina D’Aiuto ◽  
Helen-Maria Vasiliadis
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Community Dwelling ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Factors Associated ◽  
Physical Conditions ◽  
Chronic Physical Conditions ◽  
Prescription Opioid Use ◽  
Community Dwelling Older Adults

Background:Opioid use is particularly concerning among older adults. In Canada, those aged 65 years and older have the highest hospitalization rates due to opioid poisonings. Despite the current opioid crisis and the aging population, few studies have evaluated the factors associated with opioid use among seniors.Objective:To examine the factors associated with prescription opioid use among community-dwelling older adults.Methods:The sample includes 1657 people aged 65 and over recruited in primary care clinics from 2011 to 2013 in a large health administrative region of Quebec (Canada) and participating in the ESA-Services study, a longitudinal study on aging and health service use. The presence of chronic diseases was identified through self-reported health survey data and physician diagnostic codes (ICD-9/-10) from health administrative data. Psychological distress was measured using the Kessler Psychological Distress (K10) scale and dichotomised into low (scores 10 - 15) versus moderate, high, and very high distress (scores 16 - 50). Opioid prescriptions were identified using the provincial pharmaceutical drug registry for those covered under the public drug insurance plan. Sociodemographic variables were collected from the ESA-Services survey. Logistic regression analyses were carried out to examine the factors associated with opioid use up to a 4-year period following the baseline interview.Results:31.9% of participants used opioids in this sample. Factors associated with opioid use included: female sex (OR=1.24, 95%CI: 1.01-1.53), annual household income of <$25,000 (OR=1.25, 95%CI: 1.01-1.55), level of social support (OR=0.85, 95%CI: 0.73-0.99), and presence of pain/discomfort (OR=1.66, 95%CI: 1.34-2.04). Furthermore, participants with ?3 chronic physical conditions also reporting anxiety and/or depression were 3.63 (95%CI: 1.83-7.18) times more likely to use an opioid than those with 0-2 chronic physical conditions and no anxio-depressive disorder. Moreover, those with moderate, high, and very high psychological distress were more likely to use an opioid than those with low psychological distress.Conclusion:Our findings suggest that, among other factors, physical and psychiatric multimorbidity is strongly associated with prescription opioid use among community-dwelling older adults.

scholarly journals Factors Associated With Prescription Opioid Use Among Community-Dwelling Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 207-207
Author(s):  
Carina D’Aiuto ◽  
Helen-Maria Vasiliadis
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Service Use ◽  
Community Dwelling ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Factors Associated ◽  
Physical Conditions ◽  
Chronic Physical Conditions ◽  
Prescription Opioid Use

Abstract Opioid use is a growing concern in North America, particularly among older adults. Despite the opioid crisis and the aging population, few studies have evaluated the factors associated with opioid use among older adults. Our sample includes 1657 people aged ≥65 years recruited in primary care clinics from 2011 to 2013 in the Montérégie region of Québec and participating in the “Étude sur la Santé des Aînés” ESA-Services study, a longitudinal study on aging and health service use. The presence of chronic diseases was identified through self-reported health survey data linked to health administrative data. Opioid prescriptions were identified using the provincial pharmaceutical drug registry for those covered under the public drug insurance plan. Logistic regression analyses were conducted to examine the factors associated with opioid use over a 4-year period. 31.9% of participants used opioids. Factors associated with opioid use included: female sex (OR=1.24, 95%CI: 1.01-1.53), annual household income of &lt;$25,000 (OR=1.25, 95%CI: 1.01-1.55), level of social support (OR=0.85, 95%CI: 0.73-0.99), and presence of pain/discomfort (OR=1.66, 95%CI: 1.34-2.04). Further, participants with ≥3 chronic physical conditions also reporting anxiety and/or depression were 3.63 (95%CI: 1.83-7.18) times more likely to use an opioid than those with 0-2 chronic physical conditions and no common mental disorder. Moreover, those with moderate, high, and very high psychological distress were more likely to use an opioid than those with a low psychological distress. Our findings suggest that, among other factors, physical and psychiatric multimorbidity is strongly associated with prescription opioid use in older adults.

scholarly journals Association Between Prescription Opioid Use and Mortality in Community-Dwelling Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 206-206
Author(s):  
Carina D’Aiuto ◽  
Helen-Maria Vasiliadis
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Opioid Prescription ◽  
Risk Of Death ◽  
Physical Conditions ◽  
Chronic Physical Conditions ◽  
Prescription Opioid Use ◽  
The Impact

Abstract Prescription opioid use is concerning among older adults. Yet, few studies have examined the impact of opioid use on mortality by considering multimorbidity. Our sample includes 1586 older adults aged ≥65 recruited in primary care from 2011-2013 in a large health administrative region in Quebec and participating in the ESA-Services study, a longitudinal study on aging and health service use. An opioid prescription delivered in the 3 years prior to the baseline interview was identified using the provincial pharmaceutical drug registry. Mortality was ascertained from the vital statistics registry until 2015. The presence of chronic diseases was based on self-reported and physician diagnostic codes in health administrative databases. Physical multimorbidity was defined as ≥3 chronic physical conditions from either source. Physical/psychiatric multimorbidity was defined as ≥3 chronic physical conditions and ≥1 common mental disorder from either source. Logistic regression analyses were conducted to examine the association between opioid use and mortality, controlling for sociodemographic factors. Interactions were tested for opioid use and multimorbidity. Older adults with physical multimorbidity using opioids were 1.76 (95%CI: 1.02-3.03) times more likely to die than those not using opioids. Those with physical/psychiatric multimorbidity using opioids were 2.27 (95%CI: 1.26-4.09) times more likely to die than those not using opioids. Older age, male sex, and single marital status significantly increased the risk of mortality. Overall, opioid use increases the risk of death in older adults with multimorbidity. The presence of mental disorders further increases the risk of death in older adults with physical multimorbidity using opioids.

scholarly journals Physical Restraint of Older Adults at Home: Preliminary Analysis of a Prospective Cohort Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 683-683
Author(s):  
Asa Inagaki ◽  
Ayumi Igarashi ◽  
Maiko Noguchi-Watanabe ◽  
Mariko Sakka ◽  
Chie Fukui ◽  
...  
Keyword(s):  
Older Adults ◽  
Online Survey ◽  
Physical Restraint ◽  
Community Dwelling ◽  
Physical Restraints ◽  
Care Nurse ◽  
Factors Associated ◽  
Home Care Nurse ◽  
Community Dwelling Older Adults ◽  
At Home

Abstract Our study aimed to explore the prevalence and factors of physical restraints among frail to dependent older adults living at home. We conducted an online survey to ask about the physical/mental conditions, demographics, service utilization, and physical restraints of community-dwelling older adults. Either home care nurse or care managers who were responsible for the older adult answered the survey that were conducted at baseline and one month later. We obtained data from 1,278 individuals. Physical restraint was reported for 53 (4.1%) participants. Multiple logistic regression revealed the factors associated with physical restraints at home: having been restrained at baseline, having pneumonia or heart failure, receiving home bathing, or using rental assistive devices were associated with physical restraints at one month. The findings could be used to promote discussion about which services prevent physical restraints and what we should do to support clients and their family to stay at home safely.

Factors associated with potentially inappropriate drug utilization in a sample of rural community-dwelling older adults

2005 ◽  
Vol 3 (3) ◽  
pp. 168-179 ◽  
Author(s):  
Susan J. Blalock ◽  
John E. Byrd ◽  
Richard A. Hansen ◽  
Thespina J. Yamanis ◽  
Katherine McMullin ◽  
...  
Keyword(s):  
Older Adults ◽  
Drug Utilization ◽  
Rural Community ◽  
Community Dwelling ◽  
Inappropriate Drug ◽  
Factors Associated ◽  
Community Dwelling Older Adults

scholarly journals Effects of Prescription Opioid Use on Traumatic Brain Injury Risk in Older Adults

2021 ◽  
Vol 36 (5) ◽  
pp. 388-395 ◽  
Author(s):  
Anthony V. Herrera ◽  
Linda Wastila ◽  
Jessica P. Brown ◽  
Hegang Chen ◽  
Steven R. Gambert ◽  
...  
Keyword(s):  
Older Adults ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Injury Risk ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Prescription Opioid Use

Psychological Distress and the Use of Clinical Preventive Services by Community-Dwelling Older Adults

2017 ◽  
Vol 38 (5) ◽  
pp. 599-616 ◽  
Author(s):  
Szu-Hsuan Lin ◽  
Omolola E. Adepoju ◽  
Bita A. Kash ◽  
Bethany DeSalvo ◽  
Darcy K. McMaughan
Keyword(s):  
Breast Cancer ◽  
Older Adults ◽  
Psychological Distress ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Emotional Health ◽  
Preventive Services ◽  
Community Dwelling ◽  
Clinical Preventive Services ◽  
Community Dwelling Older Adults

In this study, we explored whether psychological distress plays a role in the use of recommended clinical preventive services among community-dwelling older adults. The sample is drawn from respondents 65 years and older who participated in the 2011 Medical Expenditure Panel Survey (MEPS). Logistic regressions with selected covariates were entered in the model to estimate odds ratios (OR) with 95% confidence interval (CI) for the independent effect of psychological distress on the utilization of each of five preventive services. With the exception of breast cancer screening where the uptake of preventive services was significantly lower for older adults with psychological distress (OR = 0.57, p < .001), uptake of other key preventive measures revealed no significant utilization differences between older adults with and without psychological distress. The results suggest that adherence to breast cancer screening guidelines may be increased by improving recognition and treatment of emotional health problems in older women.

PTSD Symptoms, Daily Subjective Age, and Psychological Distress in Community-Dwelling Older Adults

GeroPsych ◽  
2021 ◽  
pp. 1-10
Author(s):  
Yaakov Hoffman ◽  
Amit Shrira ◽  
Ehud Bodner
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Community Dwelling ◽  
Ptsd Symptoms ◽  
Subjective Age ◽  
Double Burden ◽  
Web Based ◽  
Resource Stress ◽  
Community Dwelling Older Adults ◽  
Online Web

Abstract. This study had three goals: (1) to address daily links between subjective age and the three psychological distress facets (depression/anxiety/somatization); (2) to examine whether such links would be stronger under higher posttraumatic stress disorder (PTSD) levels; (3) to assess which PTSD cluster is most relevant. The sample (168 community-dwelling-older-adults, mean age = 73.48, 46% female) completed an online, web-based questionnaire across 14 consecutive days. Results show that on the days participants felt older, they reported higher psychological distress, which was further exacerbated by higher PTSD levels. The PTSD cluster of intrusive thoughts was most relevant. The discussion addresses the “double-burden” view, two theories of subjective age (resource/stress vs. ageism), and finally interventions for daily psychological distress reduction amongst older adults.

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